Incisor growing weird and jagged

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beefyduck

Post   » Sun Jan 24, 2021 10:30 pm


About 10 days ago I noticed my 4 year old Duck was sleeping a lot more and eating less and very slowly. Her vet said she suspects its a problem with her lower left incisor. It appears to be growing out all wonky and bumpy. The vet prescribed metacam for the pain and metoclopramide to prevent stasis. She said Duck might need to have a procedure done on the tooth to treat the actual problem since the medication is really just for her pain.

Duck felt much better the first few days after we went to the vet, but she's going back to sleeping a lot and eating slowly despite the pain medication. I really don't want Duck to get any procedures unless absolutely necessary, so I wonder what are the reasons for her tooth to be growing out all jagged? I suspect she may have infection- but why wouldn't the vet have prescribed an antibiotic instead of metacam and a motility medication? I have already emailed the vet asking about antibiotics and am waiting for a reply.

bpatters
And got the T-shirt

Post   » Mon Jan 25, 2021 9:46 am


Can you post a picture? Or a link to a picture you've hosted somewhere, like imgur?

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Lynx
Celebrate!!!

Post   » Mon Jan 25, 2021 10:52 am


Or (if you have a clear, crisp photo), you can email it to me:
Image

Did the vet do a dental xray? Check for infection of the tooth? There is lots of info in the teeth pages. It could be a simple broken tooth growing out but not as likely since you are seeing other problems. Do weigh daily to make sure she's getting enough food.
http://www.guinealynx.info/teeth.html
http://www.guinealynx.info/teeth_broken.html
http://www.guinealynx.info/malocclusion.html

beefyduck

Post   » Mon Jan 25, 2021 12:29 pm


The vet did not do an xray because she said it would cost $300 and there was a chance it wouldn't give her any more information.

Here is a link to a pic of Duck's teeth.

Image

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ItsaZoo
Supporter in 2020

Post   » Mon Jan 25, 2021 3:08 pm


The vet should do a thorough dental exam with a scope and really take a good look at all the teeth. If that’s inconclusive, xrays would be in order. While a front tooth alone could be sore or infected, usually incisor problems indicate problems with other teeth. And if there is an infection, it needs to be addressed with antibiotics and possibly surgery rather than just pain meds.

In the meantime, you will have to keep food moving through her system. Will she eat if you feed her long sticks of food, like veggies cut in long strips? You will probably need to hand feed Critical Care or some other mashed up food. There is info on the medical care guide, and your vet should be able to help you as well.

bpatters
And got the T-shirt

Post   » Mon Jan 25, 2021 4:08 pm


$300 for a dental x-ray is highway robbery.

I can't tell from the picture what you're seeing wrong with the tooth. It does look a little inflamed right at the gum.

beefyduck

Post   » Mon Jan 25, 2021 5:23 pm


Thanks for the input everyone! My vet responded and she said she believes a procedure would be ultimately necessary to fix the irregular incisor, but she is willing to prescribe a course of antibiotics if I would like. What do you think would be the best thing to do here? I know how rough antibiotics can be on a pig's gut so I don't want to put Duck through that if she's inevitably going to get a procedure for the tooth. Do you think an xray would help Duck?

@ItsaZoo- Yes she will eat if the veggies are cut up for her- just very very slowly. I am mostly worried about her hay intake since I used to always find her in the hay, but now its much rarer to find her there. I am giving her critical care to supplement.

@bpatters- I agree that $300 is obscene. I live in NYC and am afraid that this is the norm for exotic vets here. Our visit cost over $200 for an examination and the 2 medications. I will try to get a better picture of the tooth. It's a little difficult to get a picture by myself.

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Lynx
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Post   » Mon Jan 25, 2021 9:55 pm


Here is a slightly closer crop of your pic:
Image

Can the mouth close fully? To see kind of what the teeth should look like, look over http://www.guinealynx.info/teeth_broken.html Each guinea pig will have slightly different teeth but that page may help. If there is something wrong with the molars, sometimes it is reflected in the incisors.

beefyduck

Post   » Tue Jan 26, 2021 2:48 pm


yes her mouth can close fully. Here is a better image of her tooth. You can see its got this wavy texture at the bottom and its bumpy further away from the root. I believe that the problem is with this incisor because she will take her urinary support tablet and run but she won't eat it unless we break it up into smaller pieces for her. Once they're bite size she can eat happily which makes me think her molars aren't the reason she is eating less.

bpatters
And got the T-shirt

Post   » Tue Jan 26, 2021 3:07 pm


I'm guessing that she either had an injury to that tooth root, or an infection in it. I'd try the antibiotic before I'd pay for what a surgery undoubtedly costs there.

beefyduck

Post   » Tue Jan 26, 2021 3:17 pm


I just got back from a different exotic vet for a second opinion. She didn't suggest an antibiotic either. Since the vet didn't seem to have a sense of urgency about the possibility of an infection spreading, would it be safe to watch for improvements for another few days? I know how bad antibiotics can be on their gut.

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Lynx
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Post   » Tue Jan 26, 2021 10:16 pm


Sometimes an injured tooth will grow out, then fall out, regrow another time or two until the initial problem resolves.

Let me know if I can copy your newest image to your topic for future readers.

beefyduck

Post   » Wed Jan 27, 2021 3:23 pm


That's good to know. I think I will see if it it's due to injury before I proceed with medication. Thanks for the help!

Sure you can copy the image!

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Lynx
Celebrate!!!

Post   » Wed Jan 27, 2021 7:40 pm


Thanks, here's a crop:

Image

beefyduck

Post   » Fri Apr 16, 2021 12:50 am


Hi again everyone. I am back with an update on Duck. Please let me know if this should be in a new thread!

About a week after my last post in this thread, one of Duck's eyes was protruding quite a bit and it was pretty watery. We ended up taking Duck back to the vet for an xray. There were no obvious points of concern in the scan but the vet said there was just the slightest bright spot that suggested an ear infection. We went home with some antibiotics (orbax) for 2 weeks. Duck was doing pretty well- she started eating normally, sleeping normal amounts, and gained her weight back. Her eye stopped being as watery, but it was still protruding enough for it to be noticeable. The vet said the next step is to look into seeing an exotic vet who specializes in optometry, but she did mention that if Duck's eye doesn't seem to bother her and it doesn't dry out then we have a bit of time before we need to do that. We left it at that because Duck seemed back to normal.

I noticed these past 3 days that Duck has been sleeping outside of her hidey with her head wedged in between corners? I know this is a sign of pain/discomfort so I am worried that the infection never fully cleared from January and has progressed enough to give Duck discomfort again. She is still eating her hay and pellets (picky with her veg, but she always has been). I also see her occasionally opening her mouth extra wide while chewing as if to reposition the food. Her eye has been protruding this entire time by the way. Some days it looks better and others it looks worse and even watery again.

Do you think this could be the same infection from January? What do you guys recommend I do? I'm thinking about asking my vet for more orbax. I'm not sure if that would be allowed without re-examining Duck. As always, any input is appreciated!

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ItsaZoo
Supporter in 2020

Post   » Fri Apr 16, 2021 10:11 pm


It could be that the ear infection flared up again, but it could also be dental and/or sinus related. I think another trip to the vet is in order, to see if there is anything going on with the roots of teeth, or anything suspicious in the sinus area.

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Lynx
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Post   » Fri Apr 16, 2021 10:15 pm


Ditto ItsaZoo. Elongated roots, for example, can push on the eye too so a dental exam could help. Xrays should show the presence of infection or elongated roots.

beefyduck

Post   » Fri Apr 16, 2021 10:40 pm


We had originally brought Duck to the vet thinking it was elongated roots but the vet didn't mention that anything looked off with her roots when she reviewed the xray. Would a dental exam tell us something that the xray missed?

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Lynx
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Post   » Sat Apr 17, 2021 10:55 am


I would think an xray would clearly show if the roots were elongated. Someone not really familiar with guinea pig dental xrays might not see it. The xray supposedly helps to visualize some infections. If you are not noticing any problems that could indicate dental problems (read over the following pages), an xray, read by an experienced vet or experienced veterinary dentist, would indeed have provided the info you needed.
http://www.guinealynx.info/malocclusion.html
http://www.guinealynx.info/teeth.html

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